腹部超声波 (FAST) 在血动力学稳定的孩子与的腹部创伤:随机对照试验的研究协议
James F Holmes1, Daniel J Tancredi2, Kenneth M Kelley3
1Department of Emergency Medicine, University of California, Davis School of Medicine, Sacramento, CA, USA. jfholmes@ucdavis.edu.
Trials
|December 13, 2025
概括
这项研究调查了焦点评估与超声波创伤 (FAST) 检查是否可以安全地减少计算机断层扫描 (CT) 在患有腹部损伤的儿童中使用. 结果将指导小儿创伤评估的常规临床实践.
科学领域:
- 儿科急救医学 儿科急救医学
- 诊断成像 诊断成像 诊断成像
- 创伤外科 手术 创伤外科
背景情况:
- 腹腔内伤害 (IAI) 是儿科创伤的主要死亡原因.
- 过度依赖腹部计算机断层扫描 (CT) 引发了对儿童辐射暴露的担忧.
- 焦点评估与超声波创伤 (FAST) 检查可能会减少CT的使用,但其在儿童中的实用性需要进一步研究.
研究的目的:
- 为了确定FAST检查是否可以安全地减少腹部CT利用率,在患有体腹部创伤的儿童中.
- 为儿童创伤护理中FAST检查的常规实施提供证据.
主要方法:
- 一个多中心,随机对照试验,涉及3194-4346名患有形腹部创伤的儿童.
- 参与者被随机分配到FAST检查加常规护理或仅常规护理.
- 主要结局包括24小时内使用腹部CT的比例和错过/延迟的IAI诊断.
主要成果:
- 这个部分不在所提供的摘要中.
结论:
- 该研究旨在确定FAST检查是否会导致受伤儿童CT扫描的安全降低.
- 将提供关于FAST在小儿突击腹部创伤初始评估中的常规使用的最终证据.
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